quiz: Benner: From novice to expert in nursing

what tool does the article mention that helps with "an understanding of the differences between the experienced nurse and the novice?

the dreyfus model

what is motivation

the internal impulse that allows one to take action or change behaviors

what are characteristics of the first level in the benner model

they have no experience with the situations in which they are expected to perform tasks; practitioners in this level are taught rules to guide actions in respect to different attributes; heart of the difficulty of this level is that the practitioner faces the inability to use discretionary judgement and must use context-free rules to guide task performance

what is a change agent role

-Advocating for change on an individual, family, group, community, or societal level that -enhances health (not giving advice) (self-determination/ autonomy) -Use communication, counseling, education -Takes action to make things happen -Initiates change -Sees an issue and looks for solutions. Innovator will be proactive about issues

what is a researcher/research consumer role

-Applies evidence-based practice to provide care -Identifies clinical problems -Collects data to improve nursing practice -Protects the rights of research subjects -Studies are done on nursing practice, education and administration

what is an educator role

-Assess and diagnoses the teaching needs of clients, families, and the community -Implements and evaluates the teaching plan (nursing function/process) -Educated clients to develop self-care abilities, or caregivers to assist -Provide knowledge to allow clients to make informed decisions -Promote health, prevent illness, restore health and facilitate/assist with coping

what is a counselor role

-Assist and guide clients in solving problems or making decisions regarding their health -Utilize therapeutic communication skills -Nurses does not tell clients how to solve the problem -Guides clients to make their own decisions (self-determination) -Could listen to client

what is a case manager/coordinator role

-Coordinates and plans care delivered to the client -Piece together fragmented care -Prepares clients for discharge -Liaison in a health care team *typically is a nurse, once in awhile a social worker will do this role

what is a communicator role

-Establish rapport -Establish therapeutic (helping) relationship -Uses verbal and nonverbal communication -Facilitate communication in the healthcare team -Advise the community about health promotion and disease prevention -

what is a leader role

-Inspires others by setting a positive example -Motivates others to achieve goals -Encourages others to do their best -Works collaboratively with all the members in the team -Willingness to learn and improve

what is a team player role

-Nurses are part of a team -Do NOT work in isolation -Who are other team members? (doctors, surgeons, technicians, other nurses, transporters, sanitation engineers, lab, x-ray, dietary, etc) -What does being a team player mean? (working together

what is a motivator role

-Nurses motivate clients to make changes by: having a positive attitude, listening to patient needs, encouraging, rewarding, and devoting time and energy to assist with changes

what is a direct care provider role

-Performing nursing care to patients -Addresses the physical, emotional, social, and spiritual needs of the client

what is a manager role

-Plans, organizes, and directs (makes assignments for the day, ensures quality care, ensures supplies are available)(supervisor) -Manages, coordinates, and evaluates -Delegates the activities of all the members in the team

what is an advocate role

-Protect and support the client's' rights to make healthcare decisions -Protect clients from harm when they are unable to speak for themselves or make Decisions -Is a representative for all clients

what is a critical thinker

Different way of looking at problems other than the obvious

who invented the dreyfus model

Stuart and Hubert Dreyfus, professors from UC Berkeley

what are characteristics of the fourth level in the benner model

They can now recognize when the expected normal picture does not present itself. They have a holistic understanding and decision-making is now less labored. Perceives situations as wholes, rather than in terms of aspects and performance is guided by Maxims. Now considers fewer options and hones in on an accurate region of the problem.

benner's second level of proficiency

advanced beginner

which role protects and supports the client's rights to make healthcare decisions

advocate

which role advocates for change on an individual, family, group, community, or societal level that enhances healthcare

change agent/ innovator

what do the five levels of the dreyfus model reflect

changes in two general aspect of skilled performance. one is a movement from reliance on abstract principles to the use of past, concrete experience as paradigms, the other is a change in the perception and understanding of a demand situation so that the situation is seen less as a compilation of equally relevant bits and more as a complete whole in which only certain parts are relevant.

which role establishes rapport, therapeutic relationships, uses verbal and nonverbal communication, and facilitates communication in the healthcare team

communicator

benner's third level of proficiency

competent

which role assists and guides clients in solving problems or making decisions regarding their health

counselor

which role performs nursing care to patients, addresses the physical, emotional, social, and spiritual needs

direct care provider

which role assesses and diagnose the teaching needs of clients, families, and the community, implements and evaluates the teaching plan, and educates clients to develop self-care abilities

educator

benner's fifth level of proficiency

expert

what is nursing

he diagnosis and treatment of human responses to actual and potential health problems. 5 characteristics of registered nursing: Nursing practice is individualized Nurses coordinate care by establishing partnerships (persons, families, support systems, etc) Caring is central to the practice of the registered nurse Registered nurses use the nursing process to plan and provide individualized care to their healthcare consumers A strong link exists between the professional work environment and the registered nurse's ability to provide quality healthcare and achieve optimal outcomes

what does the benner model of nursing take in to account

increments in skilled performance based upon experience as well as education. It also provides a basis for clinical knowledge development and career progression in clinical nursing

which role inspires others by setting a positive example

leader

which role delegates the activities of all the members in the team

manager

what are characteristics of the fifth level in the benner model

many nurses never reach this level; performer no longer relies on an analytical principle to connect her/his understanding of the situation to an appropriate action. Performer has an intuitive grasp of the situation and zeros in on the accurate region of the problem without wasteful consideration of a large range of unfruitful possible problem situations.

which role motivates clients to make changes by: having a positive attitude, listening to patient needs, encouraging, rewarding, and devoting time and energy to assist with changes

motivator

what is experience

not the mere passage of time or longevity; it is the refinement of preconceived notions and theory by encountering many actual practical situations that add nuances or shades of differences to theory.

benner's first level of proficiency

novice

benner's fourth level of proficiency

proficient

which role applies evidence-based practice to provide care

researcher/research consumer

what are characteristics of the second level in the benner model

this level is characterized by one who can demonstrate marginally acceptable performance; they can formulate and follow guidelines for actions in terms of attributes and aspects - they treat all attributes and aspects as equally important; major implication for both preservice and in service education is that this level needs support in the clinical setting and they need help setting priorities since they operate on general guidelines and are only beginning to perceive recurrent meaningful patters

what are characteristics of the third level in the benner model

ypified by the nurse who has been on the job two to three years, develops when the nurse begins to see his or her actions in terms of long-range goals or plans. They are more organized; a plan establishes a perspective and the plan is based on considerable conscious, abstract, analytic contemplation of the problem. The competent nurse lacks the speed and flexibility of the nurse who has reached the proficient level. This stage is characterized by a feeling of mastery and the ability to cope with and manage the many contingencies of clinical nursing. Nurses at this stage can: benefit from decision-making games and simulations that give them practice in planning and coordinating multiple, complex, patient care demands.